| NPI | 1801068903 |
|---|---|
| Doing Business As | SOUTH AMITYVILLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICK S. TRIVEDI Dentist 631-842-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 049545) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |